FHIRsmith: ClaimResponse/ClaimResponse-PJ1VAEResponse1.json

FHIR IG analytics

Package	elga.moped
Resource Type	ClaimResponse
Id	ClaimResponse-PJ1VAEResponse1.json
FHIR Version	R5

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ClaimResponse PJ1VAEResponse1

Profile: MOPED VAEResponse

VerpflegskostenBeitragsbefreiung
Befreiung: Befreiung für den Verpflegskostenbeitrag: N (Es liegt keine Befreiung vom Verpflegskostenbeitrag vor.)
Zeitraum: 2024-02-22 --> 2024-08-21

Supporting Info Extension for ClaimResponse - Sonderklasse Slice
category: Allgemeine Gebührenklasse/Sonderklasse
code: Allgemeine Gebührenklasse
sequence: 2
timing: 2024-02-22 19:33:00+0200 --> (ongoing)

Supporting Info Extension for ClaimResponse - Vortageanzahl auf Kostenbeitrag
category: Vortageanzahl auf Kostenbeitrag
value: 2
sequence: 4

status: Active

type: VAE Response

use: Preauthorization

patient: Sonnenschein Susi (official) Female, DoB: 1969-04-21 ( Social Security Number: 9994210469)

created: 2025-02-18

insurer: Organization Österreichische Gesundheitskasse Wien

requestor: Organization Herz Jesu-Krankenhaus

request: Claim: status = active; type = VAE Request; subType = initiale VAE; use = preauthorization; created = 2025-02-17

outcome: Processing Complete

decision: bewilligt (nur für stationären Bereich)

preAuthPeriod: 2024-02-22 --> 2024-08-21

Source1

{
  "resourceType": "ClaimResponse",
  "id": "PJ1VAEResponse1",
  "meta": {
    "profile": [
      "https://elga.moped.at/StructureDefinition/MopedVAEResponse"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "Befreiung",
          "valueCoding": {
            "system": "https://elga.moped.at/CodeSystem/VerpflegskostenBeitragsbefreiungCS",
            "code": "N"
          }
        },
        {
          "url": "Zeitraum",
          "valuePeriod": {
            "start": "2024-02-22",
            "end": "2024-08-21"
          }
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/moped-ext-verpflegskostenBeitragsbefreiung"
    },
    {
      "extension": [
        {
          "url": "category",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code": "KLAS"
              }
            ]
          }
        },
        {
          "url": "code",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/SonderklasseCS",
                "code": "A"
              }
            ]
          }
        },
        {
          "url": "sequence",
          "valuePositiveInt": 2
        },
        {
          "url": "timing",
          "valuePeriod": {
            "start": "2024-02-22T19:33:00+02:00"
          }
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/MopedSupportingInfoSonderklasse"
    },
    {
      "extension": [
        {
          "url": "category",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://elga.moped.at/CodeSystem/ClaimSupportingInformationCategoryCS",
                "code": "VTAGE"
              }
            ]
          }
        },
        {
          "url": "value",
          "valueQuantity": {
            "value": 2
          }
        },
        {
          "url": "sequence",
          "valuePositiveInt": 4
        }
      ],
      "url": "https://elga.moped.at/StructureDefinition/MopedSupportingInfoVortageanzahlAufKostenbeitrag"
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/MopedClaimTypeCS",
        "code": "VAERESP"
      }
    ]
  },
  "use": "preauthorization",
  "patient": {
    "reference": "Patient/PJ1Patient"
  },
  "created": "2025-02-18",
  "insurer": {
    "reference": "Organization/SV11"
  },
  "requestor": {
    "reference": "Organization/OrganizationHerzJesuKrankenhaus"
  },
  "request": {
    "reference": "Claim/PJ1VAERequest1"
  },
  "outcome": "complete",
  "decision": {
    "coding": [
      {
        "system": "https://elga.moped.at/CodeSystem/VAEStatusCS",
        "code": "00"
      }
    ]
  },
  "preAuthPeriod": {
    "start": "2024-02-22",
    "end": "2024-08-21"
  }
}